The nurse is auscultating heart sounds for a pregnant client in the third trimester of pregnancy. The client wants to know why her doctor told her she had an extra heart sound at the last visit. Which response by the nurse is appropriate?

Question

Quizplus · Accepted Answer

A)Two other heart sounds may be present in some healthy individuals. The third heart sound (S₃)may be heard in children, in young adults, or in pregnant females during the third trimester. It is heard after S₂ and is termed a ventricular gallop. When the atrioventricular (AV)valves open, blood flow into the ventricles may cause vibrations. These vibrations create the S₃ sound during diastole. There is no need for an echocardiogram. While the S₃ sound can be associated with heart failure, this is not the case during pregnancy. S₄, also known as an atrial gallop, can also be present in healthy individuals. B)Two other heart sounds may be present in some healthy individuals. The third heart sound (S₃)may be heard in children, in young adults, or in pregnant females during the third trimester. It is heard after S₂ and is termed a ventricular gallop. When the atrioventricular (AV)valves open, blood flow into the ventricles may cause vibrations. These vibrations create the S₃ sound during diastole. There is no need for an echocardiogram. While the S₃ sound can be associated with heart failure, this is not the case during pregnancy. S₄, also known as an atrial gallop, can also be present in health individuals. C)Two other heart sounds may be present in some healthy individuals. The third heart sound (S₃)may be heard in children, in young adults, or in pregnant females during the third trimester. It is heard after S₂ and is termed a ventricular gallop. When the atrioventricular (AV)valves open, blood flow into the ventricles may cause vibrations. These vibrations create the S₃ sound during diastole. There is no need for an echocardiogram. While the S₃ sound can be associated with heart failure, this is not the case during pregnancy. S₄, also known as an atrial gallop, can also be present in health individuals. D)Two other heart sounds may be present in some healthy individuals. The third heart sound (S₃)may be heard in children, in young adults, or in pregnant females during the third trimester. It is heard after S₂ and is termed a ventricular gallop. When the atrioventricular (AV)valves open, blood flow into the ventricles may cause vibrations. These vibrations create the S₃ sound during diastole. There is no need for an echocardiogram. While the S₃ sound can be associated with heart failure, this is not the case during pregnancy. S₄, also known as an atrial gallop, can also be present in health individuals.

The Nurse Is Auscultating Heart Sounds for a Pregnant Client